大麻在世界范围内日益流行,需要意识到一种潜力,不太认可,自相矛盾的实体,大麻素剧吐综合征(CHS)。这包括周期性的恶心发作,呕吐,和强迫性热水浴,以缓解长期使用大麻的人。一名每日及长期使用大麻的十八岁男性恶心及呕吐过度,被诊断为CHS,并因严重和快速波动的低磷酸盐血症而进一步复杂化。在急诊科成功使用静脉(IV)止吐剂(甲氧氯普胺)和IV生理盐水治疗。用IV磷治疗低磷酸盐血症。尽管CHS中的低磷酸盐血症是一种罕见的情况,作者分享了他们的经验,以促进对成功管理的更广泛的认可和洞察力。
The increasing prevalence of cannabis worldwide requires awareness of a potential, less recognized, paradoxical entity, the cannabinoid hyperemesis syndrome (CHS). This includes cyclic episodes of nausea, vomiting, and compulsive hot water bathing for alleviation in individuals with chronic cannabis use. An 18-year-old male with daily and prolonged cannabis use has excessive nausea and vomiting, is diagnosed with CHS, and is further complicated by severe and rapidly fluctuating hypophosphatemia. He was successfully managed with intravenous (IV) antiemetic (metoclopramide) and IV normal saline in the emergency department. Hypophosphatemia was treated with IV phosphorous. Although hypophosphatemia in CHS is a rare encounter, the authors share their experience to promote broader recognition and insight into successful management.